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Individual

DR. BIANCA BELLE BETHEL KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, CEEAA

Contact information

Practice address
100 N BEACON ST, BOSTON, MA 02134-1928
(617) 943-6294
Mailing address
100 N BEACON ST, BOSTON, MA 02134-1928

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18357
MA

Other

Enumeration date
02/13/2013
Last updated
05/20/2015
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